| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $958.65 | $958.65 | $958.65 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Professional | $981.75 | $981.75 | $981.75 | |
Providence
| Professional | $981.75 | $1,316.70 | $1,316.70 | |
United
| Professional | $962.50 | $962.50 | $962.50 |